Dr Samuel James Larussa, MD in North Hollywood, CA

Dr Samuel James Larussa, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in North Hollywood, California. His current practice location is 4343 Lankershim Blvd Ste 300, North Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (310) 301-6800.

Dr Samuel James Larussa is licensed to practice in California (license number A186634) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376993063.

Contact Information

	Dr Samuel James Larussa, MD
	4343 Lankershim Blvd Ste 300, North Hollywood, CA 91602-2705
	(310) 301-6800
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel James Larussa
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	4343 Lankershim Blvd Ste 300, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376993063
Provider Enumeration Date: 06/14/2016
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5395102974
Enrollment ID: I20230613002821

Medical Identifiers

Medical identifiers for Dr Samuel James Larussa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376993063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A186634 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	A186634 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel James Larussa allows following entities to bill medicare on his behalf.

Entity Name	Ucla Radiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel James Larussa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Samuel James Larussa, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Dr Samuel James Larussa, MD 4343 Lankershim Blvd Ste 300, North Hollywood, CA 91602-2705 Ph: (310) 301-6800

Reviews and Comments

Radiology Doctors in North Hollywood, CA

Stephanie Yu-hue Chiu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10767 Riverside Dr, North Hollywood, CA 91602 Phone: 818-301-6700 Fax: 818-301-6701
Farhad Houriani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10767 Riverside Dr, North Hollywood, CA 91602 Phone: 818-301-6700 Fax: 818-301-6701
Dr. Mary Winifred Denk, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6136 Bellaire Ave, North Hollywood, CA 91606 Phone: 818-769-6378 Fax: 818-761-4321
Dr. Babak Shayestehfar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10767 Riverside Dr, North Hollywood, CA 91602 Phone: 818-301-6700 Fax: 818-301-6701
Semyon Zakiyan, RVT,RDCS,RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 6225 Coldwater Canyon Ave Unit 118, North Hollywood, CA 91606 Phone: 818-281-7169

Dr Samuel James Larussa, MD - Medicare Radiology in North Hollywood, CA